CLEMAINE CHARITA MITCHELL APN-C NPI 1861824773

NPI Information

NPI: 1861824773
Provider Name: CLEMAINE CHARITA MITCHELL, APN-C
Classification: Clinical Nurse Specialist - 364SF0001X
Entity Type: Individual

Specialization: Family Health

PECOS Registration: Yes

Address:
1167 NOSTRAND AVE
BROOKLYN, NY
ZIP 11225
Phone: (718) 778-0198
Get Directions

Clemaine Charita Mitchell, APN-C is a family health clinical nurse specialist in Brooklyn, NY. Clemaine Charita Mitchell, APN-C NPI is 1861824773. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1167 NOSTRAND AVE
BROOKLYN, NY
ZIP 11225-417
Phone: (718) 778-0198
Fax: (718) 221-8169

The NPI 1861824773 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/1/2013 and was last updated on 9/22/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	F338530	NEW YORK	No
2	364SF0001X	Clinical Nurse Specialist	Family Health	26NR11384700	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	W6L111	MEDICARE OSCAR/CERTIFICATION	NEW YORK
2	G100000410	MEDICARE OSCAR/CERTIFICATION	NEW YORK
3	331954	MEDICARE OSCAR/CERTIFICATION	NEW YORK
4	00695941	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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